770-720-2222
6199 Hickory Flat Highway
Suite 142
Canton, GA 30115
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Request Appointment
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Contact Us
Menu
Home
About Us
Meet the Staff
Patient Testimonials
Our Location
DFC Hours & Events
Patient Services
Office Techniques
Conditions Treated
New Patients
Patient Forms
Request an Appointment
Request Appointment
Wellness Resources
Contact Us
Request an Appointment
We do not take new patients on Saturdays.
Please view our office hours (on the left) and then use the form below to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.
Full Name
Please type your full name.
E-mail
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Phone Number
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Date and Hour for Requested Appointment
Date you would like (I.e. April 15, 2021)
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Please note:
The available times for new patients are 8:00 A.M., 9:30 A.M. and 3 :00 P.M., 4:30 P.M. and 5:00 P.M.
Select Time
8 AM
9:30 AM
3 PM
4 PM
4:30 PM
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Please tell us if you are a current patient, or are requesting to become a new patient
Patient Status
I am a current patient
I am a new patient
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Additional Notes:
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Spam Check
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NOTE:
You do not have a scheduled appointment until we can call you and verify this appointment request.